Active NPI
Krystle Martin
- Home Health Agency
- Sanford, FL
National Provider Identifier
1790421097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 117 E Coleman Cir
Sanford, FL 32773-5838 - Phone
- (407) 687-3519
- NPI assigned
- May 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
117 E Coleman Cir
Sanford, FL 32773-5838
Mailing address
117 E Coleman Cir
Sanford, FL 32773-5838
Phone (407) 687-3519
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kvanity111@outlook.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1790421097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E COLEMAN CIR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735838",
"telephone_number": "407-687-3519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E COLEMAN CIR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735838",
"telephone_number": "407-687-3519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KRYSTLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-10",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kvanity111@outlook.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "medical",
"address_1": "117 E Coleman Cir",
"city": "Sanford",
"state": "FL",
"country_code": "US",
"postal_code": "327735838",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.